Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffrey Scott Clark, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1811103138

Jeffrey Scott Clark, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Johnson City, Tennessee. Qualified in 2021, 5 years ago. Practices with American Anesthesiology of Virginia PC, a 507-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
5
Licensed in
TN, VA
In the registry since
2007
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone: (423) 431-6111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Med Tech Pkwy, Johnson City, TN 37604-2277 — (423) 302-1020

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 14744 (TN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 0024185771 (VA)

Record details

NPI number1811103138
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 15, 2007
Last updated in NPPESDecember 15, 2023
Certification dateDecember 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice American Anesthesiology Of Virginia Pc — 507 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Johnson City